Active NPI
Gina Marie Zazzara, MSSA
- Clinical Social Worker
- Strongsville, OH
National Provider Identifier
1770815482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1101689
- Practice address
- 11565 Pearl Rd
Suite 200
Strongsville, OH 44136-3356 - Phone
- (440) 846-0862
- Fax
- (440) 846-0890
- NPI assigned
- Feb 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1101689 | OH | Primary |
Addresses
Primary practice location
11565 Pearl Rd
Suite 200
Strongsville, OH 44136-3356
Mailing address
23472 Grist Mill CT
Olmsted Falls, OH 44138-3206
Phone (440) 610-3662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28922 Lorain Rd
Suite 201
North Olmsted, OH 44070-4047
Phone (440) 360-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1101689 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeguide Health LLC | Current | Accepting new patients |
Locations
28922 Lorain Rd
Ste 201
North Olmsted, OH 44070
Phone (440) 360-7500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- North Olmsted, OH
- NPI 1225628605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1770815482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23472 GRIST MILL CT",
"city": "OLMSTED FALLS",
"state": "OH",
"postal_code": "441383206",
"telephone_number": "440-610-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11565 PEARL RD",
"address_2": "SUITE 200",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441363356",
"telephone_number": "440-846-0862",
"fax_number": "440-846-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAZZARA",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "MSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1101689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Strongsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.